Devic's neuromyelitis optica: a clinicopathological study of 8 patients.

Abstract:

:We report the clinical, imaging, and laboratory features of 8 patients with Devic's neuromyelitis optica. All patients had severe myelopathy and optic neuritis. In no patient was the brain, the brainstem, or the cerebellum affected, even after several years of disease. Various immunosuppressive treatments failed to benefit the patients, 5 of whom died. Autopsies of these 5 patients demonstrated a severe necrotizing myelopathy with thickening of blood vessel walls and no lymphocyte infiltrates. In the appropriate clinical setting, the lack of white matter abnormalities demonstrated by magnetic resonance imaging of the head facilitates the recognition of Devic's syndrome during life. Inasmuch as Devic's myelopathy is necrotizing, rather than demyelinating, the prognosis of this syndrome is poor.

journal_name

Ann Neurol

journal_title

Annals of neurology

authors

Mandler RN,Davis LE,Jeffery DR,Kornfeld M

doi

10.1002/ana.410340211

subject

Has Abstract

pub_date

1993-08-01 00:00:00

pages

162-8

issue

2

eissn

0364-5134

issn

1531-8249

journal_volume

34

pub_type

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